Specialty: RN Case Management

Job Details:

Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources.

Educates physicians regarding InterQual criteria, documentation of patient acuity and treatment plan and the related expectations of CMS, JCAHO, NYS DOH and other regulatory bodies.

Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs.

Responsible for integrating, facilitating and coordinating patient care for high-risk patients across the healthcare continuum.

Ensures delivery of cost effective, outcome oriented and quality care within an appropriate LOS.

Manages patient care to prevent fragmentation and duplication of services.

Works in collaborative practic...